Fill and Sign the Subcontractor Identification Notice Wisconsin Form

SUBCONTRACTOR IDENTIFICATION NOTICE -- INDIVIDUAL (§779.02(2)(b), Wis. Stats.) OWNER'S NAME: __________________________________ OWNER'S ADDRESS: __________________________________ As a part of your construction contract, your Prime Contractor has already advised you that those who furnish labor or materials for the construction work on your property will be identifying themselves to you. The undersigned first furnished labor and/or materials on the _____ day of ________________ , 20 ______ , for the construction on your Property located at: _______________________________________________________________________ . Please give your mortgage lender a copy of this Notice within ten (10) days after you receive it, so your lender, too, will know that the undersigned is included in the work. This Notice is given for purposes of identification, and is not a claim to you or to your lender for payment. This the _____ day of _____________ , 20 ______ . __________________________________ Signature _____ _____________________________ Type or Print Name Certificate of Delivery I, _________________________________ , hereby certify that I have delivered this day two true and correct copies of the foregoing to the property owner within sixty (60) days after first commencement of Subcontractor's work by (check one): ( ) Hand Delivery ( ) Mailing a true and correct copy of same by registered U.S. mail, postage prepaid, return receipt requested to _________________________________ . So certified this the _____ day of _________________ , 20 ______ . ________________________ Signature Subcontractor Identification Notice Page 1 of 1